BONNIE M LANCOUR

KENOSHA, WI
NPI1447573696
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: WI  4694-027)
Enumeration Date2010-03-02
Last Update Date2010-03-02
Business Address
-- BONNIE M LANCOUR COTA
3415 SHERIDAN RD
KENOSHA, WI 53140-1924
Phone number: 262-653-2954
Mailing Address
-- BONNIE M LANCOUR COTA
375 E GOLDEN LN
OAK CREEK, WI 53154-4509
Phone number: 262-470-2557